Routine inspection·November 8, 2023

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Caitlin Belisle, Direct Support Provider and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE). License capacity of (12) with a current census of (8). LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant: Indoor and outdoor passageways are free of obstruction. Facility pool is fenced and observed locked, inaccessible to residents in care. Facility has sufficient indoor and outdoor shaded space for resident activities. The facility has sufficient lighting and is maintained at a comfortable temperature. Resident’s bathrooms were operating in safe and sanitary conditions. The hot water temperature in residents' bathrooms measured between 107 to 118 degrees F. Resident’s bedrooms have sufficient lighting and furniture in good repair. Facility a fully charged fire extinguisher and several carbon monoxide alarms. Fireplace is adequately screened. The facility has posted in a common area, Community Care Licensing complaint poster, Ombudsman poster, disaster evacuation plan and emergency telephone numbers. Food Service: Facility has sufficient non-perishable and perishable food supply for residents in care. The refrigerator and freezer are operating in a healthful manner. Soaps and other cleaning solutions were stored away from food areas. Care & Supervision : Facility has 24-hour care staff. Staff working have criminal record clearances or exemptions through the Department. Record Review: (3) staff files reviewed were observed to be complete. (3) resident files reviewed were observed to be complete. Administrator’s certification expires on 8/8/2024. Facility had no documentation of last emergency drill conducted on file. Deficiency cited. Medical Related Services : All medication is centrally stored and locked in a cabinet located in the dining area. A deficiency is being cited during today's visit. An exit interview was conducted where reports LIC809 & LIC809D were discussed. Copies with appeal rights were provided to the Direct Support Provider.